Use Stedi to exchange the following transactions with Highmark Senior Solutions using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported, enrollment required
Eligibility checks
(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Highmark Senior Solutions.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Highmark Senior Solutions to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported
Real-time claim status
(276/277)
Check on the status of a claim previously submitted to Highmark Senior Solutions in real-time by sending a claim status check (276/277).
Supported, enrollment required
Professional claims
(837P)
Submit professional claims to Highmark Senior Solutions and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Highmark Senior Solutions and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Highmark Senior Solutions to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Highmark Senior Solutions and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Highmark Senior Solutions.
Get started
Start processing healthcare transactions with Stedi and Highmark Senior Solutions today.